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  • Title: [Treatment of iatrogenic lesions of the common bile duct].
    Author: Vecchio R, Ferrara M, Pucci L, Meli G, Latteri S.
    Journal: Minerva Chir; 1995; 50(1-2):29-38. PubMed ID: 7617257.
    Abstract:
    The authors report 32 patients admitted to the hospital with iatrogenic bile duct stricture. Cholecystectomy with or without bile duct exploration was the most frequent (84.3%) surgical procedure responsible for the lesion, followed by BII gastric resection. Six patients had undergone one previous attempt at repair in another institution. Most patients had undergone a hepatojejunostomy, which has the procedure of choice in the last cases. Mortality and morbidity rates were 0 and 15%, respectively. The complications reported were a biliary fistula and 2 post-repair bile strictures that required one or more re-operations. During the follow-up 2 other patients developed episodes of cholangitis, treated medically. Clinical, diagnostic and therapeutic aspects of iatrogenic bile duct strictures are reviewed.
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